Organization
ANGELS PROTECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMIKA SMITH (ORGANIZER)
67887893227
Entity
Organization
Contact information
Practice address
6252 GREENOCK DR, STONE MOUNTAIN, GA 30087-6093
(404) 663-5922
Mailing address
6252 GREENOCK DR, STONE MOUNTAIN, GA 30087-6093
(404) 663-5922
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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